Making hospital transitions safer during the pandemic

Care providers can take action to make hospital and emergency room transfers safer for residents during the coronavirus pandemic, according to a group of eldercare experts.

These experts have published a comprehensive guideline on safe and effective transitions that includes the following checklist points (summarized):

  • Medically stable patients who are appropriately isolated should not be transferred to the emergency department. Multidisciplinary teamwork can support providing care in place.
  • Address advance care planning with every patient and family in the context of COVID-19.
  • Carefully weigh the risks and benefits of transferring residents with a febrile respiratory illness to an emergency department. This includes an evaluation of the patient’s current state of health, patient-centered goals, and an assessment of prognosis in the context of COVID-19 illness.
  • Consider “forward triage” when considering patients for care transitions. This involves assessing the resident’s level of acuity. This should involve a conversation with the receiving emergency department physician.
  • Warm hand-offs are critical. Nursing home and emergency department providers need to communicate prior to a transfer and as medical decisions are being made, including the ability of the nursing home to safely accept a returning resident.

Read the full article at

COVID-19 survey: Nursing homes’ top strategies for ‘keeping spirits up’

McKnight’s Long-Term Care News asked nursing home leaders what they were doing to “help keep spirits up” during the coronavirus pandemic and, boy, did they tell us.
Nearly 500 providers, in fact, opened up to share what their favorite coping mechanisms are.
The most popular answers culled from the McKnight’s COVID-19 flash survey last weekend involved free food for staff, dress-up or theme days, flexible work hours, and increased communication with staff members.

See more at